[Hiring] Population Health Care Manager @Southern Illinois Healthcare

Role Description

Responsible for serving as a patient advocate. Enhances a collaborative relationship with the patient, family and clinician. Serves as a health coach to promote healthy lifestyle for patients within cohort. Partner with stakeholders to improve quality outcomes and measures.

Qualifications

• Associates degree in nursing required.
• Current LPN nursing license, pursuing RN; RN strongly preferred.

Requirements

• Minimum of three-year experience in the use of Electronic Medical Record systems, EPIC preferred.
• Strong background in ambulatory and/or inpatient acute care nursing.
• Ability to effectively communicate with physicians, care team members, and caregivers to maximize individual effectiveness.
• Clinical acumen to support and understand disease progression and common associated interventions.
• Basic knowledge and experience using web-based meetings and communications, Excel, Word, PowerPoint, and other software applications.
• Experience working in a remote setting preferred.
• Intermittent hand manipulation required.
• Intermittent lifting and carrying of 20 lbs.

Benefits

• Compensation (Commensurate with experience): $27.69 to $42.92.
• To access our Benefits Guide/Plan Information, please click the link below: Benefits Guide

Company Description

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.

Location: State of Illinois

Shift: 7:30a-4p, MON-FRI

Time Type: Full-Time

Facility/Clinic Name: Fully Remote

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality.

Role Specific Responsibilities

• Uses nursing knowledge and expertise to drive care coordination efforts for patients with chronic diseases or other diagnoses related health management needs.
• Maintains multiple caseloads/deadlines independently and in a timely fashion while responding to quality and other outcome related measures.
• Develops and maintains individualized care plans and goals for patients within a given cohort based on the identification of patient needs and proposed solutions.
• Applies effective and therapeutic clinical coaching methods to promote patient engagement that fosters independence and self-management.
• Communicates with Care Team members to coordinate care.
• Maintains health coach or other care management training and/or certification.
• Conducts concurrent medical record review using specific indicators and criteria selected for care gap reporting.
• Actively works with patients and providers to close care gaps for value based contracts.
• Develops and reports on hospitalization and other quality metrics including identification of problem areas and possible plans for improvement.
• Assists with orders for laboratory and diagnostic testing as appropriate per department clinical guidelines.
• Participates in department huddles, meetings and other meetings as appropriate.
• Partners with Community Based programs to promote Population Health programs.
• Works under the supervision of the Director of Clinical Operations - Population Health and indirectly with the Medical Director of Population Health.